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Outcomes predicted by phosphorous in chronic kidney disease: a retrospective CKD-inception cohort study
Nephrology, Dialysis and Transplantation 2010;25:166-174 article Study Goal To understand the implications of elevated serum phosphorus on clinically important outcomes in the CKD population. Study Design and Population This is a retrospective cohort...PDU Terms
Presenters, Thank-you once again for participating in the Peritoneal Dialysis University (PDU), sponsored by Baxter. This year, the PDU has partnered with UKidney.com, a nephrology educational website produced by faculty from the University of Toronto....Prevalence of abnormal serum vitamin D, PTH, calcium and phosphorus in CKD
Kidney International (2007) 71, 31-38 Study Goal: To examine the role of vitamin D deficiency as it relates to eGFR and hyperparathyroidism by examining the relationships of circulating vitamin D, PTH, Calcium, and Phosphorus in CKD patients. Study...Comparative effectiveness of paricalcitol versus cinacalcet for secondary hyperparathyroidism in patients receiving hemodialysis - Article Review
Nephron Clinical Practice 2010;117:151-159 Study objectives: To determine the rates of parathyroidectomy in hemodialysis patients treated with either paricalcitol or cinacalcet. A secondary cost analysis of the year following parathyroidectomy in the...Class review of phosphate binders in Ontario
Dear Colleagues: As nephrologists with a significant interest in mineral metabolism practicing in Ontario, we are writing to inform you about a class review of all phosphate binders in end-stage renal disease that has been initiated by the Ontario...Dietary Reference Intakes for Calcium and Vitamin D – Institute of Medicine - June Martin
Institute of Medicine Report on Calcium and Vitamin D Summary of Reccomendations On November 30th 2010 the Institute of Medicine (IOM) released the Dietary Reference Intakes (DRIs) for calcium and vitamin D. The complete report is available at...Cinacalcet Effectively Reduces Parathyroid Hormone Secretion and Gland Volume Regardless of Pretreatment Gland Size in Patients with Secondary Hyperparathyroidism - Article Review - Dr. Paul Barre
This article appraisal is part of the EMiNEM Bone and Mineral Metabolism Series. Click here to reach the EMiNEM homepage on UKidney Clin J Am Soc Nephrol 5:2305-2314, 2010 Study Objective To determine whether cinacalcet is capable of inducing a...EMiNEM Case #2: Answers and Discussion
a right inferior PTH adenoma that had not been removed at the original surgery. Looking at the surgery pathology specimens, one adenoma was removed with surgery along with three other parathyroid glands, one of which was incomplete. This was the right...EMiNEM Case #3: Answers and Discussion
Switching to a non calcium based Phosphate binder may decrease Calcium levels, however, this in turn will increase PTH levels. In Ontario, this patient would not qualify for EAP approval for sevelamer as his P is not above 1.There is no evidence that...EMiNEM: Education in Mineral Metabolism
Welcome to the Nephrology Education in Mineral Metabolism Resource Center The Education in MINEral Metabolism (EMINEM) project stemmed from a study designed to look at mineral metabolism control in hemodialysis patients across Canada. This project...Encapsulating Peritoneal Sclerosis
to enlarge) Figure 2 Figure 2 (Click image to enlarge) A 47-year-old African American male with end stage renal disease secondary to Thrombotic Thrombocytopenic Purpura, on peritoneal dialysis (PD) since 2006 presented in 2015 with abdominal pain and...MRAs in diabetic kidney disease
is clinidipine underused medication??
Dr Weinstein The focus seems to be dihydropyridine calcium channel antagonists + ACEI/ARB based practice in routine redressal of hypertension and proteinuria reduction, we hardly see any use of novel L/N type Ca channel antagonist Clinidipine despite...Hyponatremia of unknown etiology
50 year old chronic smoker with no other co-morbidities is admitted with us with altered behaviour for a month. He had undergone open cholecystectomy in a small private hospital for symptomatic gall stones 2 days before the present symptoms appeared....Minimal change disease
y/o male with acute onset of severe nephrotic syndrome and AKI. clinically manifested with severe edema developed within a week period and serum albumin of 1.9gm/dl. Kidney biopsy showed MCD. Patient has chronic fungal endophthalmitis maintined on...eGFR of 59, does this mean I have CKD? How concerned should I be?
eGFR on a blood test was 59. I am a 49 year old female. They did an ultrasound of my kidneys and everything was OK on the ultrasound. I have normal blood pressure and I exercise regularly. No symptoms or other conditions. How worried should I be? Would...Membranous glomerulonephritis with gross hematuria
year old male with no past medical history who was referred initially for microhematuria. After evaluation, patient was noted to have proteinuria, non-nephrotic range. UP/C ~1.7. Patient stated he did have gross hematuria associated with URI symptoms....diltiazem antiproteinuric effect vs adverse effects
52 years old female , with uncontrolled diabetes type 2 , HTN , came to the clinic with overt nephrotic syndrome with 24 hr urinary protein of 5 g . on ex her blood pressure 180/95 with regular pulse, bilateral lower limb edema is noticed . labs were as...Too much lab work - CKD or Not
clearance which was 65. I went to LabCorp and Quest myself for the Cystatin C ,creatinine and BUN so everything would be in one place for the Nephrologist. My creatinine came back at .72 and .83 and Cystatin C was .79 and 1. (All came back normal based...
